CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Tennova Healthcare-Jefferson Memorial Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $327
  • Cash Discount Price: $2,082
  • vs. Medicare Baseline: 0.92x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Tennova Healthcare-Jefferson Memorial Hospital is $327. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,082. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 0.92x the Medicare baseline. Located in 110 Hospital Drive, Jefferson City, TN.
Cash / Self-Pay
$2,082

Average discount available for prompt cash payment at this facility.

Insurance Median
$327

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$356.43

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $356.43 (100%)
Cash / Self-Pay: $2,082 (584%)
Insurance Median: $327 (92%)
Cash: $2,082 (584% of Medicare)
Ins. Median: $327 (92% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $356.43 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Medicaid / KanCare $99 28%
UnitedHealthcare $99 - $9,408 28%
Amerigroup $184 52%
Bluecare $193 - $209 54%
Tricare $301 84%
Humana $311 87%
Medicare (plans) $311 87%
Node Bluecare Plus Tn Mcr Adv $317 89%
Node Champva $317 89%
Node Hospice Non Par Agree $317 89%
Node Va $317 89%
Node Devoted Health Mcr Adv $318 89%
Node Farm Bureau Mcr Adv $318 89%
Veterans Eval Services $320 90%
Aetna $321 - $6,040 90%
Blue Cross Blue Shield $321 - $1,910 90%
Node Healthspring Mcr Adv $321 90%
Node Amerigroup Mcr Adv $327 92%
Node Wellcare Mcr Adv $329 92%
Node Nhc Mcr Adv $343 96%
Node Us Dept Of Labor $396 111%
Three Rivers Work Comp Tn $429 120%
Cigna $456 128%
Novanet Work Comp Tn $530 149%
Occunet Work Comp Tn $536 150%
Tn Work Comp $536 150%
Ambetter / Centene $586 164%
Point Comfort Underwriters $685 192%
Self Pay $2,082 584%
Multiplan Complementary $7,432 2085%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 110 Hospital Drive, Jefferson City, TN 37760
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals